Individual
DR. KENNETH L HERMAN
Active
Individual
DR. KENNETH L HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MB0479100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0693784000
AMERIHEALTH
NJ
01
—
24034
AETNA US HEALTHCARE
NJ
01
—
751636
BLUE SHIELD
NJ
01
—
8107509004
CIGNA
NJ
Enumeration date
11/09/2005
Last updated
07/11/2013
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